{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T04:58:25Z","timestamp":1790657905711,"version":"4.1.0"},"reference-count":18,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The aim of this study was to present the observational outcomes of scleral suture-fixated intraocular lens (IOL) implantation combined with iris cerclage pupilloplasty to treat aphakic eyes with traumatic mydriasis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>A retrospective review was performed consisting of 9 aphakic eyes in 9 patients with traumatic mydriasis who underwent scleral suture-fixated IOL implantation combined with iris cerclage pupilloplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean age was 18.9\u2009\u00b1\u200918.1 years and the mean follow-up time was 6.3\u2009\u00b1\u20096.1 months. Best-corrected visual acuity improved from 0.94\u2009\u00b1\u20090.75 logarithm of the minimum angle of resolution (logMAR) to 0.75\u2009\u00b1\u20090.67 logMAR after the surgery (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.042). Intraocular pressure decreased from 17.81\u2009\u00b1\u20096.37 mmHg to 13.70\u2009\u00b1\u20093.64 mmHg (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.046). The pupil diameter reduced from 8.851\u2009\u00b1\u20090.686\u2005mm to 5.263\u2009\u00b1\u20091.361\u2005mm (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0001). In addition, the symptom of photophobia had significantly alleviated. The difference of endothelial cell density was not statistically significant postoperatively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.698).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Scleral suture-fixated IOL implantation combined with iris cerclage is an effective method to achieve functional and cosmetic outcomes for aphakic eyes with traumatic mydriasis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1958055","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T04:34:45Z","timestamp":1790656485000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Combined scleral suture-fixated intraocular lens implantation and Iris cerclage pupilloplasty for aphakic eyes with traumatic mydriasis"],"prefix":"10.3389","volume":"13","author":[{"given":"Mengxiao","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongfei","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping","family":"Fei","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Xinhua Hospital, Shanghai Jiaotong University School of 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